Injectable Platelet-Rich Fibrin With Minimally Invasive Non-Surgical Technique in Treatment of Grade II Furcation Defects
Evaluation of Injectable Platelet-Rich Fibrin With Minimally Invasive Non-Surgical Technique in Treatment of Grade II Furcation Defects: A Randomized Clinical Trial
調査の概要
状態
詳細な説明
Periodontitis is a multifactorial inflammatory disease that occurs due to the challenge between the host response and specific periodontal pathogens, leading to a gradual destruction of the periodontal supporting tissues over time.
Different regenerative approaches have been proposed including guided tissue regeneration (GTR); bone grafts, bioactive agents such as enamel matrix derivative (EMD) and platelet concentrates.
Using the minimally invasive nonsurgical technique (MINST) implements magnification with microscope/loupes and delicate instruments, to perform the periodontal debridement with more effective root debridement and less soft tissue trauma. MINST significantly improve the visualization and root decontamination, and at the same time preserve the gingival margin and consequently improve the aesthetic results and tissue stability.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前:Moustafa A Ahmed, B.D.S
- 電話番号:00201098378998
- メール:23110295.pg@o6u.edu.eg
研究場所
-
-
Giza Governorate
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Giza、Giza Governorate、エジプト、12511
- 募集
- October 6 University (Faculty of Dentistry)
-
副調査官:
- Reham L Aggour, MD
-
コンタクト:
- Moustafa A Ahmed, B.D.S
- 電話番号:00201098378998
- メール:23110295.pg@o6u.edu.eg
-
副調査官:
- Shereen F Ahmed, MD
-
副調査官:
- Wessam I Shehab, MD
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Patients of both genders >18 years old, medically free of systemic diseases affecting periodontal regeneration.
- Diagnosis of stage III, grade B periodontitis (according to the AAP/EFP classification 2018) with the presence of class II furcation defect in either the maxillary (buccal) or mandibular arch (buccal or lingual) as determined by clinical evaluation and confirmed by radiographic evaluation.
- Gingival margin and interdental bone positioned coronally to the furcation entrance.
- Commitment to maintenance visits and follow-up.
- Absence of primary endodontic lesions.
Exclusion Criteria:
- Patients suffering from any systemic diseases that may affect the outcome of periodontal therapy, including diabetes, immune deficiencies, etc;
- Patients that received periodontal surgical treatments in the past 12 months.
- Smoking (current or in past 5 years)
- Prolonged treatment with antibiotics or anti-inflammatory agents within 6 months prior to periodontal therapy.
- Pregnant and lactating females.
- Teeth with hopeless prognosis
- Third molars
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
アクティブコンパレータ:Positive control group
Patients will receive minimally invasive non-surgical technique (MINST) alone
|
Patients will receive minimally invasive non-surgical technique (MINST) alone
|
|
実験的:Test group
Patients will receive minimally invasive non-surgical technique (MINST) + injectable platelet-rich fibrin (i-PRF) injection
|
Patients will receive minimally invasive non-surgical technique (MINST) + injectable platelet-rich fibrin (i-PRF) injection
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in Radiographic Bone Fill at the Furcation Site
時間枠:6 months after treatment
|
Radiographic bone fill at the furcation site will be assessed using cone-beam computed tomography (CBCT).
The analysis will include measurement of the filled bone volume (FBV) at the furcation area using segmentation.
|
6 months after treatment
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in Horizontal Clinical Attachment Level
時間枠:6 months after treatment
|
Horizontal clinical attachment level will be assessed using periodontal probing at baseline and 6 months after treatment.
|
6 months after treatment
|
|
Change in Vertical Clinical Attachment Level
時間枠:6 months after treatment
|
Vertical clinical attachment levels will be assessed using periodontal probing at baseline and 6 months after treatment.
|
6 months after treatment
|
|
Change in Probing Pocket Depth
時間枠:6 months after treatment
|
Probing pocket depth (PPD) will be measured in millimeters from the gingival margin to the base of the periodontal sulcus at six sites per tooth using a UNC-15 periodontal probe.
Measurements will be recorded at baseline and 6 months after treatment.
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6 months after treatment
|
|
Change in Gingival Margin Location
時間枠:6 months after treatment
|
The location of the gingival margin will be assessed by measuring the distance from the cemento-enamel junction (CEJ) to the gingival margin.
Measurements will be recorded at baseline and 6 months after treatment.
|
6 months after treatment
|
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Change in Plaque Index
時間枠:6 months after treatment
|
Plaque index (PI) will be assessed to evaluate oral hygiene status by measuring dental plaque accumulation in areas adjacent to the gingival margin.
Plaque index will be recorded at baseline and 6 months after treatment.
|
6 months after treatment
|
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Change in Bleeding on Probing
時間枠:6 months after treatment
|
Bleeding on probing (BoP) will be assessed by gently inserting a periodontal probe into the gingival sulcus at the base of the interdental papilla and recording the intensity of bleeding after a short delay.
BoP will be assessed at baseline and 6 months after treatment.
|
6 months after treatment
|
協力者と研究者
スポンサー
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- 23110295
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
IPD 共有時間枠
IPD 共有アクセス基準
IPD 共有サポート情報タイプ
- STUDY_PROTOCOL
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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